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Risk Factors for Musculoskeletal Injuries for Soldiers Deployed to Afghanistan

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Oct 26, 2012.

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  1. Brian A. Rothbart

    Brian A. Rothbart Active Member

    The United States Army (at William Beaumont Army Medical Center in El Paso, Texas) is currently conducting a randomized, double blind study to evaluate the effectiveness of Rothbarts Insoles in controlling and/or eliminating the lower extremity problems seen, so frequently, in the recruits. Part of this study involves duplicating the Cuernavaca Study (Rothbart 2004), comparing the outcomes. Principal Investigator: Rebecca L Morrell 1Lt, SP, PT; Associate Investigator: Amy J Trevino, MPT MAJ, SP, PT.

    Current Research- Releasers vs Bracers
    Using pressure plate analysis, we have statistically identified two distinct tonicity patterns resulting from abnormal foot pronation (specifically abnormal pronation resulting from the Primus Metatarsus Supinatus foot structure); Bracers and Releasers:
    • Bracers are identified by their elevated media pressure and lower surface area readings (i.e., cavus foot, hammertoes). Typically, they wear down the outside edges of their shoes (See Left Photo below).
    • Releasers are identified by their depressed media pressure and higher surface area readings (i.e., pes planus foot, flaccid toes). Typically, they wear down the inside edges of their shoes (See Right Photo below). (See Bracing Patterns - differential diagnosis)

    Preliminary data suggests that the plantar surface of the 1st metatarsal and hallux act like a rheostat, adjusting the tonicity patterns in the postural muscles, foot to jaw. If the loading patterns underneath the hallux and 1st metatarsal are disturbed, a profound rippling effect is triggered up the postural chain resulting in adaptations/changes in postural tonicity.
    Preliminary data suggests that afferent tactile (non-supportive type) insoles tend to shift the body toward postural homeostasis.
    Preliminary data suggests that mechanical (supportive type) insoles tend to shift the body away from postural homeostasis (Rothbart 2005) and destabilize (augment) the kyphotic and scoliotic curves in the spine (Fusco).
    Dramatic changes in the progression of weight bearing forces has been demonstrated using Proprioceptive Insoles.

    Unfortunately, this research project was cancelled when all of the principle researchers were restationed in Iraq during the war.
     
  2. Dr. Steven King

    Dr. Steven King Well-Known Member

    Aloha,

    I am confused.
    Have we entered a 3rd Iraq War??

    "The United States Army (at William Beaumont Army Medical Center in El Paso, Texas) is currently conducting a randomized, double blind study to evaluate the effectiveness of Rothbarts Insoles".

    "this research project was cancelled when all of the principle researchers were restationed in Iraq during the war."


    http://www.rothbartsite.com/about-professor-rothbart.html

    If Dr Rothbart is the "Father of Chronic Pain Elimination" who is the mother??

    A hui hou,
    Dr. King
    "Father of Maria and Sundi King".
     
  3. Brian A. Rothbart

    Brian A. Rothbart Active Member

    Nope, I confess. I simply copied and pasted off my now defunct webpage (written 15 years ago).

    That project was set up just before we Invaded Iraq. The medical personnel recruited to take part in this project were redeployed to Iraq. After Bush left office, the project was forgotten.

    I like your humor. When you find the mother, let me know.
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    One out of four recruits drops out from elite military training due to musculoskeletal injuries in the Netherlands Armed Forces.
    Dijksma I et al
    BMJ Mil Health. 2020 Mar 5
     
  5. Dr. Steven King

    Dr. Steven King Well-Known Member

    Aloha,
    What a waste of money and potential talent.

    "In the RNLMC, total dropout rate was 53.9% and dropout due to MSIs was 23%."

    Does this statement mean that our warfighters and peacekeepers should take finger painting classes instead of leading patrols with a full combat packs?
    "Redesigning training programmes with the objective to reduce MSIs should be given high priority, "

    How about building and providing better boots and exoskeleton technology instead of dumbing-wimping down their training regimes?
    www.kingetics.com

    Mahalo,
    Steve

    Dr. Steven King
    Managing Member Kingetics LLC
    ASTM E54 (Body Armor Standards), F13 (Footwear Standards), F48 (Exoskeleton Standards) committees – voting member
    Co-PI SBIR A11-109 U.S. Dept. of Defense and Army Medical Research Materials Command (Advanced Composite Insoles for the Reduction of Stress Fractures)
    Jungle Boot Working Group member NIST-DoD-ASTM
    Prior Army Podiatrist
    Co-Author US Pat. 8,353,968
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Incidence of injuries and factors related to injuries in combat soldiers
    Nirit Yavnai et al
    BMJ Mil Health 20 February 2020
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Exercise programs to reduce the risk of musculoskeletal injuries in military personnel: A systematic review and meta‐analysis
    I. Dijksma I.G. Arslan F.S. van Etten‐Jamaludin R.G. Elbers C. Lucas M.M. Stuiver
    11 March 2020
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Association Between Musculoskeletal Injuries and the Canadian Armed Forces Physical Employment Standard Proxy in Canadian Military Recruits
    Etienne Chassé, MSc, Marie-Andrée Laroche, BSc, Carole-Anne Dufour, MSc, Renaud Guimond, MCISc, François Lalonde, PhD
    Military Medicine, usaa011, https://doi.org/10.1093/milmed/usaa011
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    SELF-REPORTED MUSCULOSKELETAL ACUTE
    AND OVERUSE INJURIES AMONG LATVIAN
    INFANTRY SOLDIERS

    Darja Nesterovica et al
    Proceedings of the International Scientific Conference. Volume VI, May 22th -23th, 2020. 354-360
     
  10. Dr. Steven King

    Dr. Steven King Well-Known Member

    If this statement was true the makers of successful Injury Reduction Programs would be very rich and all global militaries would already be utilizing them.

    "Mostly of reported injuries could be classified as preventable and should be reduced through
    injury reduction programmes."
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Distance travelled by military recruits during basic training is a significant risk factor for lower limb overuse injury
    Richard S. Whittle
    BMJ Mil Health Published Online First: 02 June 2020.
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Models to predict injury, physical fitness failure and attrition in recruit training: a retrospective cohort study
    Robin M. Orr, Bruce S. Cohen, Stephen C. Allison, Lakmini Bulathsinhala, Edward J. Zambraski & Mark Jaffrey
    Military Medical Research volume 7, Article number: 26 (2020)
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Factors associated with musculoskeletal injuries in an infantry commanders course
    Shani Svorai Band , MD, Michal Pantanowitz , PhD, Shany Funk , MSc, Gordon Waddington , PhD & Nili Steinberg , PhD
    The Physician and Sportsmedicine: 08 Jun 2020
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    What is the impact of fitness on injury risk during police academy training? A retrospective cohort study
    Colin Tomes, Ben Schram, Rodney Pope & Robin Orr
    BMC Sports Science, Medicine and Rehabilitation volume 12, Article number: 39 (2020)
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Trunk and Lower Extremity Movement Patterns, Stress Fracture Risk Factors, and Biomarkers of Bone Turnover in Military Trainees
    Timothy C Mauntel et al
    J Athl Train. 2020 Jul 1;55(7):724-732.
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Can Achilles and patellar tendon structures predict musculoskeletal injuries in combat soldiers?
    Nili Steinberg Michal Pantanowitz Shany Funk Shani Svorai Band Gordon Waddington Nirit Yavnai Aviva Zeev
    03 September 2020
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Incident Musculoskeletal Conditions Among Men and Women Veterans Returning From Deployment
    Sally G Haskell et al
    Med Care. 2020 Sep 10
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Musculoskeletal complaints in military recruits during their basic training
    Noel L W Keijsers et al
    BMJ Mil Health. 2020 Oct 29
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Gait Retraining Improves Running Impact Loading and Function in Previously Injured U.S. Military Cadets: A Pilot Study
    Erin M Miller et al
    Mil Med. 2020 Nov 20
     
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